Thedacare Medical Center - Shawano, Inc. is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Clintonville, Wisconsin. The current practice location for Thedacare Medical Center - Shawano, Inc. is 370 S Main St, Clintonville, Wisconsin. For appointments, you can reach them via phone at
(715) 823-5161. The mailing address for Thedacare Medical Center - Shawano, Inc. is 3 Neenah Ctr, Neenah, Wisconsin and phone number is (920) 454-4229.
Thedacare Medical Center - Shawano, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1801447925. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(715) 823-5161.
Primary Care Clinic Profile
| Full Name | Thedacare Medical Center - Shawano, Inc. |
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| Speciality | Clinic/Center |
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| Location | 370 S Main St, Clintonville, Wisconsin |
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| Authorized Official Name and Position | Mark Steven Thompson (CFO) |
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| Authorized Official Contact | 9208305885 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Thedacare Medical Center - Shawano, Inc.
3 Neenah Ctr
Neenah
WI 54956-3070
Ph: (920) 454-4229 | Thedacare Medical Center - Shawano, Inc.
370 S Main St
Clintonville
WI 54929-1632
Ph: (715) 823-5161 |
NPI Details:
| NPI Number | 1801447925 |
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| Provider Enumeration Date | 09/20/2019 |
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| Last Update Date | 12/30/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5890605836 |
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| Medicare Enrollment ID | O20191009003249 |
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Medical Identifiers
Medical identifiers for Thedacare Medical Center - Shawano, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801447925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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